DR. CHARLES A WILSON D.O.
NPI 1295781359
Family Medicine in Las Vegas, NV

Q: What is Charles Wilson's NPI number?

The NPI number for Charles Wilson is 1295781359. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Charles Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Wilson was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

6360 BOULDER HWY, LAS VEGAS, NV 89122(725) 228-4520(877) 889-5390 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2024, Dec 27, 2021, Oct 13, 2021 and 3 more (6 updates tracked since 2016).

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About Dr. Charles A Wilson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES A WILSON D.O. (NPI 1295781359) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (DO1782) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Nova Southeastern College Of Osteo Medicine (1996).

NPPES Registry Identity

NPI1295781359

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLES A WILSONCredential: D.O.

Location Address6360 BOULDER HWYLas Vegas, NV 89122-7301

Mailing AddressPo Box 616788Orlando, FL 32861-6788 · (407) 533-6836 · Fax (407) 232-9316

Phone(725) 228-4520

Fax(877) 889-5390

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1996

Enumeration DateMay 26, 2006

Last NPPES UpdateNovember 14, 20246 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1295781359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · DO1782

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6360 BOULDER HWY, Las Vegas, NV 89122

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Secondary Practice Location 1

Location 1200 Jose Figueres Ave Ste 485San Jose, CA 95116-1597 · Phone (408) 259-3022 · Fax (408) 259-3040

Other Identifiers 1

Medicaid1295781359NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles A Wilson D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325037849

PECOS Enrollment IDI20150427001752

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Charles Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ridgecrest Regional Hospital

151 mi

Critical Access

1081 N CHINA LAKE BLVD
Ridgecrest, CA 93555

Reassigned Medicare billing, California enrollment
143 clinicians in this Medicare group

NPI 1447253125 (760) 446-3551

Healthcare Partners Affiliates Medical Group

227 mi

Addiction Medicine

14591 NEWPORT AVE
Tustin, CA 92780

Reassigned Medicare billing, California enrollment
2,052 clinicians in this Medicare group

NPI 1891981502 (714) 442-4864

Physicians Medical Group Of San Jose, Inc.

391 mi

Internal Medicine

1910 N CAPITOL AVE
San Jose, CA 95132

Reassigned Medicare billing, California enrollment
9 clinicians in this Medicare group

NPI 1891175444 (888) 265-2120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

49 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers18 claims18 services$109.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEXANDER RAMO ABESAMIS APRN-RX

Nurse Practitioner